Shahram Ehteshami, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A46324 Issued in CA

Practice address

432 Lexington St Ste C
Delano, CA 93215-3696

Phone

(661) 725-3122

Fax

(661) 721-2629

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kern Surgical Associates Inc

  • Surgery Physician
  • Bakersfield, CA
  • NPI 1366290462
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1699758599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021228",
            "telephone_number": "661-326-8002",
            "fax_number": "661-281-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 LEXINGTON ST STE C",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153696",
            "telephone_number": "661-725-3122",
            "fax_number": "661-721-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHTESHAMI",
        "first_name": "SHAHRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A46324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A463241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare Renal Care Inc (Delano Dialysis)
• Edward H. Gruber D.D.S.
• Edwin P. Ramirez, DDS, Inc.
• Edwin P. Ramirez, DDS, Inc.
• Edwin P. Ramirez, DDS, Inc.
• Morgan L. Elias, PH.D.
• Andrew Elms, D.D.S.
• Leslie Espino
• Hildalisa Esquivias, LCSW
• Nira Imelda Estrada

• Neurological Surgery Physician in Delano, CA
• Providers in Delano, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.